Anthem Blue Cross Blue Shield of California prior authorization G0682

Anthem Blue Cross Blue Shield of California prior authorization for G0682: Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) non-sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof

Code
G0682
Description
Application of a premarket approval (PMA), 510(k), 361 human cells, tissues or cellular and tissue-based products (HCT/P) non-sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof
Source
California PPO Prior Authorization List, Pg 25 Original policy

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